胰腺疾病 中山大学 内科学.pptVIP

PANCREAS The chapter includes: Summary of anatomy physiology Acute pancreatitis Chronic pancreatitis Pancreatic cyst Pancreatic cancer / Periampullary carcinoma Pancreatic endocrine tumors Location region Anatomy physiology Blood supply Venous lymph drainage Lymph drainage by multiple node groups, mainly celiac nodes sup. mesenteric nodes Ducts:the duct of Wirsung/ main ductthe duct of Santorini/ accessory duct Physiology exocrine pancreas: pancreatic juice, 750-1500ml/d --- bicarbonate digestive enzymes/proenzymes endocrine pancreas: 1.7-2.0 millions of islets --- 4 major cell typ